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Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : https://doi.org/10.7454/kesmas
Core Subject : Health,
Health Professions Public Health
The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, Epidemiology, Health Policy, Health Services Research, Nutrition, Occupational Health and Industrial Hygiene, Public Health, Public Health Education and Promotion, Women Health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 9 Documents
 1 
Search results for , issue "Vol. 15, No. 4" : 9 Documents clear
When will the COVID-19 Pandemic in Indonesia End? Susanna, Dewi
Kesmas Vol. 15, No. 4
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Abstract

On January 30, 2020, the World Health Organization(WHO) declared 2019-nCOV to be a Public Health Emergency of International Concern (PHEIC), due to the significant increase in confirmed new cases in various countries.1 In Indonesia, the first confirmed COVID-19 case was a female who had a closed contact with the 24th confirmed case in Malaysia and the second case was the mother of the first case.2 As time goes by, the number of new cases has increased significantly, reaching 160.165 confirmed cases with 6,944 deaths by August 27, 2020.3 The time when the COVID-19 pandemic in Indonesia will end is not known, although some studies are attempting to predict this such as in articles, journals, newspapers, and other media.
Policy Implementation: Teachers’ Role as First Responders in Emergencies and Disasters Hyder, Shabir; Manzoor, Adnan Fazal; Iqbal, Muhammad Amjad
Kesmas Vol. 15, No. 4
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During the past decade, the schoolchildren faced many disasters and emergencies originating from natural and man-made sources. The safety of schoolchildren rests with school management and teachers. This study aimed to assess teachers' awareness with regard to disaster prevention and health, safety, security, and environment (HSSE) policies at primary schools in Pakistan. In addition, it explores the suitability of teachers to perform as emergency handlers in the absence of school nurses and resource officers (SROs). The study involved a qualitative study, based on open-ended interviews from a sample of 25 school teachers. Methodology triangulation was applied to reduce bias. Results revealed that the majority of teachers do not know about national policies related to school safety and security. Most of the teachers had been assigned additional roles as safety officers at the school, though they lack relevant training. Moreover, neither safety nor security aspects are incorporated into national educational policy. This study was the first study on Pakistani teachers’roles as emergency first responders. With the highest rate of attacks on educational institutions globally, the region still lacks a coherent policy structure. The study found numerous inconsistencies in public policies. It seeks to contribute to the literature to better understand the educational safety environment at both the ground and policy levels.
Obesity Indicators and C-Reactive Protein in Indonesian Adults (More than Equal to 40 Years Old): The Indonesian Family Life Survey 5 Mahwati, Yeni; Nurrika, Dieta
Kesmas Vol. 15, No. 4
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Abstract

C-reactive protein (CRP) is the best clinical marker for systemic inflammation. Obesity is associated with increased CRP levels. Systemic inflammation is present before morbidity occurs. Research reveals that the identification of obesity indicators and CRP levels is limited among Indonesians. The present study investigated the associations between obesity indicators (body mass index [BMI], waist circumference [WC], waist-to-hip ratio [WHR], waist-to-height ratio [WHtR]) and CRP levels among Indonesian adults. This cross-sectional study based on Indonesian Family Life Survey-5 2014–2015 was conducted among 3,386 adults (≥ 40 years) living in 13 provinces in Indonesia during the study period. All data were collected in 2014. Multiple logistic regression was used to estimate the odds ratio (ORs) and 95% confidence interval (95% CIs) for hs-CRP levels on obesity indicators by using underweight (BMI) and normal (WC, WHR, and WHtR) as references. Our multivariable logistic regression analysis indicated that respondents with increased WHR (OR: 1.278, 95% CI: 1.005–1.625, p-value < 0.001) were more likely to have high-risk hs-CRP levels than those with normal WHR. Compared with respondents with normal WHtR, those with increased WHtR were found associated with high-risk hs-CRP levels (OR: 1.980, 95% CI: 1.544–2.541, p-value < 0.001). Therefore, WHR and WHtR can predict central obesity, which is associated with hs-CRP levels.
Using the Reach, Effectiveness, Adoption, Implementation, Maintenance Framework in the Evaluation of Community-Based Adolescent Care Pilot Program Al Aufa, Badra; Sulistiadi, Wahyu; Nurmansyah, Mochamad Iqbal; Syiroj, Agung T R; Koire, Ibrahim Isa
Kesmas Vol. 15, No. 4
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Posyandu Remaja (Posmaja) is a community-based adolescent care service in Indonesia that comprises a group of adolescents working as volunteers and healthcare workers under the guidance and responsibility of the Public Health Centre and City Health Office. The study aims to provide a formative evaluation program of Posmaja using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. This research used a qualitative approach and took place in South Tangerang City, Indonesia. The data were collected from July until December 2018. Nineteen people participated in the study. The study used in-depth interviews and focus group discussions that adopted the RE-AIM framework for data collection. Content analysis was used to analyze the collected data. The majority of Posmaja’s participants were male adolescents aged around 15 years old. Common themes generated were “adolescent empowerment,” “increasing health knowledge,” and “monitoring health and nutrition” as a result of doing the pilot program. Volunteers and healthcare workers recognized the benefits of Posmaja and thus encouraged the adoption of the program. This awareness, followed by the city Health Office’s willingness to fund and adopt the program, was viewed as highly necessary for the program’s continuation.
A Study on Knowledge, Attitudes, and Practices on Rabies in the Philippines Bundalian, Reynaldo Jr; Lacson, Monalisa; Bacani, Catherine; Soriano, Dinah Rose; Garing, Agnes; Aquino, Artemio Jr; Policarpio, Archie; Mallari, Joey Kyle; San Jose, Remedios; Bulao, Maria Fe; Tanquilut, Neil; Magsino, Patricia Joy
Kesmas Vol. 15, No. 4
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Abstract

In 2007, the Philippine government passed the Anti-Rabies Act to address rabies in the country. However, rabies is still a major public health concern in many provinces. This study aimed to evaluate the knowledge, attitude, and practices (KAP) of residents on rabies, the Anti Rabies Act, and responsible pet ownership (RPO) in Pampanga, Philippines. A cross-sectional survey was done from October 2017 to February 2018 in 92 randomly selected barangays in the province. Questionnaires were adapted from similar studies. Logistic regression was used to identify factors associated with KAP. Results showed that most people have good knowledge of the Anti-Rabies Act, RPO, and moderate knowledge of rabies. Their attitude toward rabies was appropriate, and on RPO, moderate. The RPO practices by most dog owners were good and moderate for most cat owners. Moreover, the subjects’ area of residence was a significant factor in their knowledge of RPO, and pet ownership status was a significant factor in their RPO attitude. In general, respondents showed satisfactory knowledge; however, there is a need to intensify information and education campaigns in rural areas.
Association between Social Media Exposure to Food and Beverages with Nutrient Intake of Female Adolescents Adiba, Cholida; Pradigdo, Siti Fatimah; Kartasurya, Martha Irene
Kesmas Vol. 15, No. 4
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Communication technology development has influenced adolescent food choices and intakes. This study aimed to investigate the association between social media exposure to food and beverage content and nutrient intake among female adolescents. The study was conducted in a cross-sectional design. The targeted population was 104 female students aged 14–18 years old at 'XY' High School in Semarang, Central Java, Indonesia. Eighty-one subjects were chosen by clustered random sampling. Data were collected by interviews using structured questionnaires and a 3x24-hour recall method. Data analyses were conducted by chi-square, Fisher exact tests, and logistic regression. The median and standard deviations of social-media, the duration, frequency, and the number of accounts were 2.3±3.00 hours/access, 2.0±2.00 times/day, and 3.6±2.46 accounts/access, respectively. Mean and standard deviations of adequacy levels for energy 107.4±15.39% and protein 124.8±25.8%. Duration of social-media exposures (p-value = 0.040) and body image (p-value= 0.040) were associated with food selection. Food selection was associated with energy (p-value = 0.003) and protein (p-value = 0.002) adequacy levels. After controlling for body image, social-media exposure duration > 2.3 hours had an OR of 3.4 for selecting the accessed foods. It was concluded that social media exposure duration was associated with food selection, which was then associated with energy and protein intakes.
Ultraviolet Exposure and Photokeratitis Complaints among Informal Welding Workers in Depok, West Java, Indonesia Yustheresani, Maria K I J; Nurcandra, Fajaria; Fitri, Azizah Musliha; Putri, Annisa Ika; Utari, Dyah
Kesmas Vol. 15, No. 4
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One of the photokeratitis risk factors is acute reversible radiation of ultraviolet (UV) rays, which injure the cornea's epithelial tissue. Informal welding workers are susceptible populations to UV rays exposure. This study aimed to confirm the influence of UV radiation exposure on photokeratitis complaints in welding workers in Cimanggis, Depok, West Java. A cross-sectional study was conducted from February to June 2019 and used to select 100 welding workers purposively. A semi-structured questionnaire was used to determine photokeratitis complaints, age, education level, eye protection, safety knowledge, and work period; the UV radiation measured by A UV meter. Data were analyzed using a logistic regression test. We found the proportion of photokeratitis to be 84.0%, with 76.0% of UV radiation exceeding the Threshold Limit Values (TLV). The logistic regression test showed a significant effect of UV radiation on photokeratitis after controlling confounding variables (education level, eye protection, safety knowledge, and welding distance) (p-value = 0.006; AdjOR = 7.236; 95% CI: 1.74–30.07). It can be concluded that UV radiation, more than TLV, constitutes the primary risk factor for photokeratitis complaints. Risks for photokeratitis were influenced by low education level, poor eye protection, limited safety knowledge, and welding distance ≤ 45 cm.
Cultural and Religious Belief Approaches of a Tuberculosis Program for Hard-to-Reach Populations in Mentawai and Solok West Sumatera, Indonesia Machmud, Rizanda; Medison, Irvan; Yani, Finny Fitry
Kesmas Vol. 15, No. 4
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Tuberculosis (TB) is a leading public health concern in Indonesia. It ranks second on the list of high-burden TB countries. In West Sumatra, 47% of TB cases are undetected, late diagnosed, and received incomplete treatment because of low-level awareness and knowledge and stigma, especially among the hardest to reach populations. The study aims to identify the best communication channel to reach those who live in vulnerable and remote areas. This study was a qualitative study applying in-depth interviews to the informal leaders, health officers, cultural artists, and religious leaders across districts in Mentawai and Solok Districts, which are remote and had the lowest case detection rates compared with other districts. The questionnaire was prepared with the perception of the channel to identify TB cases. The data were analyzed using the content analysis technique. Involving religious and informal leaders and using traditional music as a communication channel improved the population's awareness of TB symptoms and access to TB testing and treatment, as well as reduced TB-related stigma. This study found that the cultural and religious contexts play a major role in health communication on TB control for hard-to-reach populations in West Sumatera, Indonesia.
Assessment of Knowledge, Attitudes, and Behaviors of Turkish Women on Breast and Cervical Cancer in Karabük Province, Turkey Sevinc, Nergiz; Oral, Belgin; Korkut, Burcu
Kesmas Vol. 15, No. 4
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Breast and cervical cancer incidence and mortality among women have been increasing worldwide. This cross-sectional study aimed to evaluate women's knowledge, attitudes, and behaviors regarding breast and cervical cancers. The sample was composed of 507 women aged 18 years and older who were admitted to a primary health care center in Karabük, Turkey, from October to December 2019. The data was obtained using a questionnaire consisting of 34 questions regarding participants’ socio demographic characteristics, knowledge, attitudes, and behaviors toward breast and cervical cancers. The mean age of the participants was 41.3±12.0 years and 68.4% of them were married. Slightly more than seven in ten participants knew that the most common cancer in women was breast cancer. Almost six in ten knew that breast self-examination was the first method in the early diagnosis of breast cancer. Breast self examination practice was found to be significant among university graduates. Periodic mammography and pap smear screenings among participants were 21.9% and 23.3%, respectively. Only 3.4% of participants had received the HPV vaccine and there was no significant difference between socio-demographic characteris tics and HPV vaccination status (p-value > 0.05). Participants had moderate knowledge about breast and cervical cancer. Access to cancer screening programs should be facilitated and increased, considering these cancers' public health importance.

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